Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science 2021)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2173905 Name: VYSAKH VALSAN
  Address: Thekkumkattil house kandanadu po vattukkunnu Thekkumkattil house kandanadu po vattukkunnu
Telephone No.: Mobile no: 8943007163
E-mail: valsanvysakh@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 431330191
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173905 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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Date ________________ Date ________________
 
Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form.

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
  Dossier ID: DNS2173905
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VYSAKH VALSAN
Mother's Name: ROSHVI VALSAN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Apr 2002 Nationality: INDIAN
Place of Birth: Chottanikka Personal Identification Mark: A black mole on left shoulder
Blood Group: O + Address for Communication: Thekkumkattil house kandanadu po vattukkunnu Thekkumkattil house kandanadu po vattukkunnu
State: Kerala Country: India
Pin: 682305 City/District: Ernakulam
Mobile no: 8943007163 Telephone No. with STD code:
Aadhar Card No: E-mail: valsanvysakh@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Valsan T K Relationship with candidate: Father
Parents Date of Birth: 03 Apr 1970 Parent's/Guardian's Occupation/Designation: Government employee
   
Office Address:
   
Address: Thekkumkattil house kandanadu po vattukkunnu Thekkumkattil house kandanadu po vattukkunnu
Country: India State: Kerala
City/District: Ernakulam Pin: 682305
Tel: Mobile no.: 9947739930
Fax: Email: vysakhvt16@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Kerala
School: Baselios Vidyanikethan senior secondary school vettickkal School: KPM HSS Poothotta
City: Mulanthuruthy City: Ernakulam
English %: 96 Board Roll No./Seat No.: 7158812
Aggregate Percentage: 95 School/College Code: 07068
  Centre code: 07068
  Address of School/College: KPM hss poothotta Ernakulam
  Pin: 682307
  Contact Nos:
  Email: kpmhss07068@rediffmail.com
  Aggregate Percentage: 89
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 162 81
Chemistry 200 182 91
Mathematics 200 162 81
Physics, Chemistry & Mathematics combined Percentage: 84.33
English 100 97 97
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will study hard to get sponsorship from a good shipping company.
Why do you wish to join TMI?: TMI is one of the best Institute to complete the course.
What are your hobbies?: My hobbies are swimming and playing football.
What are your strengths?: Honesty and hardworking
What are your weaknesses?: Believe everyone blindly
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded Class XII admit card not uploaded Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

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Date ________________

 
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